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Journal of Intellectual Disabilities and Offending Behaviour    [4 followers]  Follow    
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 2050-8824
     Published by Emerald Homepage  [306 journals]
  • De-escalation: the evidence, policy and practice
    • Authors: (Pamela Inglis; Andrew Clifton)
      Abstract: Abstract

      Purpose – The management of violence and aggression is an important aspect of any service in the NHS and has been rightly tackled as a whole organisational approach. De-escalation is one such aspect of the organisation approach relating foremost to the safety of people and as such is a central part of relational security, personal safety and the therapeutic relationship. Design/methodology/approach – The paper explores the evidence and policies around de-escalation. Findings – The paper recommends that a randomised-controlled trial be designed, comparing different de-escalation techniques to establish an evidence base for this routine practice. Research limitations/implications – The paper is limited to discussing de-escalation as an approach and the policy that directs it, and does not consider individual theories on aggression and management. It makes recommendations for policy, research and practice. Practical implications – There is a lack of high-quality evidence around de-escalation policy and principles which staff may believe is evidence-based practice because training is often mandatory. This obviously impacts upon the patient experience and aspects of safety. The paper is valuable to practitioners working in secure environments, or with offenders that may require management of violence and aggression. Originality/value – There are many policies and guidelines from the government and from professional bodies that seems to have tailored off since 2005 (Muralidharan and Fenton, 2006; UKCC, 2002). Forensic staff are constrained by such guidance which is further complicated by debates concerning care/coercion and forensic environments, some of which is alluded to here.
      PubDate: Thu, 01 Jan 1970 01:00:00 +010
  • Psychological supervision and consultation for nurses in a Learning
           Disability Forensic Service
    • Authors: (Clare Whitton; Rachel Collinson, Thomas Adams)
      Abstract: Abstract

      Purpose – The purpose of this paper is to conduct a preliminary evaluation of psychological-based supervision and consultation provided by a clinical psychologist to nursing staff working in a low-secure Learning Disability Forensic Service. Design/methodology/approach – A questionnaire was completed by 22 staff members, to gather information about their experiences of receiving this service and its impact on the motivation, stress and the care they provide for patients within the service. Findings – The most common reasons for staff to attend were to discuss patient issues (n=10), needing space to reflect (n=10) and wanting to discuss service issues (n=9). Staff found these sessions to be supportive (n=13), useful (n=11), helpful (n=11) and informative (n=11). A majority of staff reported an increase in positive interactions (60 per cent, n=9) and in motivation (60 per cent, n=9) and a reduction in stress (43.7 per cent, n=7). Of staff answering the question 87.5 per cent (n=16) would recommend these sessions to others. Practical implications – The findings suggest that staff benefitted from having this opportunity to discuss patient and service issues and that this had a positive impact on their role and the care they provide. Originality/value – Therefore, the paper suggests that by offering psychological supervision and consultation will provide support to nurses working in Learning Disability Forensic Service, increase motivation and reduce stress. These findings could also be used by management in service development, for example to reduce staff sickness and subsequently reduce costs within the service.
      PubDate: Thu, 01 Jan 1970 01:00:00 +010
  • Development of an internet risk awareness group for learning disabled
    • Authors: (Glenn Batey; Theresa Comer)
      Abstract: Abstract

      Purpose – Since its inception, the internet has become increasingly dominant in everyday life. Despite its obvious benefits, concerns have been raised as to potential risks of the internet such as susceptibility to being a victim of crime and bullying. For individuals with a learning or developmental disability this risk is increased given their lack of intellectual functioning and social awareness. For individuals with such a disability and a forensic background, the risks may be even greater given the added possibility of offending online. The purpose of this paper is to describe the development of an internet risk awareness group for such individuals. Design/methodology/approach – The internet awareness group comprises of ten sessions run on a weekly basis for individuals with a learning/developmental disability and forensic background. The aim of the group is to aid an understanding of the benefits and risks of the internet, including things to be aware of to enable service users to make an informed choice and to minimise their chance of being the victim of any crime or distress. The sessions also have a forensic focus and will outline legal aspects of the internet in relation to behaviours such as stalking and will teach service users about the consequence of this. Findings – The paper describes the process of developing the course material, providing the course and adapting it in light of feedback from participants. Originality/value – The paper highlights the emerging nature of problematic internet use amongst learning disabled offenders. It serves to raise awareness among health and social care professionals and instigate the development of further good practice.
      PubDate: Thu, 01 Jan 1970 01:00:00 +010
  • Putting responsivity into risk assessment: the use of the Structured
           Assessment of Risk and Need (SARN) with sexual offenders who have an
           intellectual disability
    • Authors: (Kerensa Hocken; Belinda Winder, Andy Grayson)
      Abstract: Abstract

      Purpose – The purpose of this paper is to explore the relevance of the Structured Assessment of Risk and Need (SARN) for sexual offenders with intellectual disability (ID). Design/methodology/approach – A thematic analysis was conducted on the transcript of a discussion group of experts who work with sex offenders with ID in custody. Findings – The principal concern of the researchers at the outset of the paper was that the risk factors within the SARN might not be relevant to sexual offenders with an intellectual disability. However, what emerged from the analysis was that, from the perspective of expert practitioners, the limitations of the SARN with respect to working with sex offenders with ID is as much to do with the way in which it is administered, as it is to do with its “content”. Practical implications – The process of risk assessment is critical when assessing risk with sex offenders with ID, highlighting the importance of incorporating responsivity principles into the risk assessment process. Originality/value – The paper encourages risk assessors to rethink their assumptions about indicators of risk and progress and provides guidance about how practitioners can assess risk more effectively with sex offenders with ID.
      PubDate: Thu, 01 Jan 1970 01:00:00 +010
  • Resetting the balance: from despair to self-determination
    • Authors: (Ian Hall; Brenda Crossley, Mark Mercer)
      Abstract: Abstract

      Purpose – A case study approach to highlight the use of cognitive neurological rehabilitation in the therapeutic management of two service users who have a diagnosis of learning disability and who have exhibited the extremes of aggressive and challenging behaviour. The purpose of this paper is to explore the remarkable progress made by two service users for whom services seemed to be at a loss as to how to meet all but there basic needs. Their journeys from hopelessness to optimism and recovery are both attributable to the cognitive neurological rehabilitation model and how staff and service users worked together to gradually regain control. Design/methodology/approach – A case study approach highlighting the value of training, team working and a therapeutic model and the impact this has made on service users who, in the past, where labelled as highly disruptive and potentially untreatable. Findings – That the cognitive neurological approach is effective in managing service users who have certain cognitive deficits in a structured and supportive way that allows positive progress towards recovery. Practical implications – A very practical intervention that can be taught and supported. An intervention that appears to achieve excellent clinical results. Originality/value – Very original and effective approach to care and treatment of service users with diagnosis of learning disability living in conditions requiring security.
      PubDate: Thu, 01 Jan 1970 01:00:00 +010
  • Editorial
    • Authors: (Colin Dale)
      PubDate: Thu, 01 Jan 1970 01:00:00 +010
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